Through case study research it is explored what leadership and management tasks are critical regarding the integration of educational technology in teaching at research universities. The institutions studied, regardless their different characteristics and approaches face common difficulties in engaging "second-wave" faculty and in coordinating the various support units involved with educational technology. Strong leadership is critical to motivate faculty and to assist support units to overcome sub-cultural differences. Similarly, solid management practice is indispensable in that incentive, reward and support structures need to be adjusted to new realities and a well coordinated workflow needs to be designed.